Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $27.65 / $49.50	Facility		$13.21	$27.65	$49.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $49.50	Professional		$49.50	$49.50	$49.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $36.85	Professional		$36.85	$36.85	$36.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $24.24 / $48.76	Facility		$18.73	$24.24	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $8,702.00 / $13,785.00	Facility		$36.85	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $34.90 / $34.90	Professional		$22.29	$34.90	$34.90
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $43.54 / $52.10	Professional		$43.54	$43.54	$52.10